Healthcare Provider Details

I. General information

NPI: 1710541842
Provider Name (Legal Business Name): PATRICIA CAFOE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 04/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 PINE VALLEY RD
BERLIN NJ
08009-9492
US

IV. Provider business mailing address

13 PINE VALLEY RD
BERLIN NJ
08009-9492
US

V. Phone/Fax

Practice location:
  • Phone: 856-816-6416
  • Fax: 856-772-1130
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI01587000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP032632L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRP032632L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number28RI01587000
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP032632L
License Number StatePA
# 6
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number28RI01587000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: